Individual provider Active NPI

Fardowsa Hussein Ahmed, CAA

  • Case Manager/Care Coordinator
  • Seattle, WA
National Provider Identifier
1184116733
Registry record updated Dec 15, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Case Manager/Care CoordinatorTaxonomy code 171M00000X
License
CG60720953 Issued in WA
Practice address
1902 2ND Ave Ste 208
Seattle, WA 98101-1186
Phone
(206) 956-9570
Fax
(206) 448-8495
NPI assigned
May 30, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 15, 2018

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Case Manager/Care Coordinator 171M00000X CG60720953 WA Primary

Addresses

Primary practice location

1902 2ND Ave Ste 208
Seattle, WA 98101-1186

Mailing address

1902 2ND Ave Ste 208
Seattle, WA 98101-1186
Phone (206) 956-9570

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
CG60720953WAMDCase Manager/Care Coordinator

Practice roles

OrganizationSpecialtyStatusNew patients
Catholic Community Services of Western Washington Past Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1527638400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1544832000000",
    "number": "1184116733",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1902 2ND AVE STE 208",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981011186",
            "telephone_number": "206-956-9570",
            "fax_number": "206-448-8495"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1902 2ND AVE STE 208",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981011186",
            "telephone_number": "206-956-9570",
            "fax_number": "206-448-8495"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AHMED",
        "first_name": "FARDOWSA",
        "middle_name": "HUSSEIN",
        "credential": "CAA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-05-30",
        "last_updated": "2018-12-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": "WA",
            "license": "CG60720953",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Seattle, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 15, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.